Dorothy Ree McCollum, MSW, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128307-121 Issued in WI

Practice address

4039 N 19TH PL
Milwaukee, WI 53209-6806

Phone

(414) 384-2000

Fax

(414) 902-5468

NPI assigned

Feb 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One9 Trauma & Behavioral Health Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1225779085
  Medicare reassignment NPD Authorized official
• 1-9 Youth & Family Services

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1194286294
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1134469711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N 19TH PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096806",
            "telephone_number": "414-384-2000",
            "fax_number": "414-902-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N 19TH PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096806",
            "telephone_number": "414-384-2000",
            "fax_number": "414-902-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "DOROTHY",
        "middle_name": "REE",
        "name_prefix": "Ms.",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "128307-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER  CLINICAL.",
            "identifier": "1041C0700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle M McClone, DNP
• Martina D McCloud
• Shelita Marie McCloud, BSW
• Debra J McClure, CRNA
• Megan Elise McClymonds, MD
• Kaitlynn McConnell, PHD
• Meagan Marie McConnell, R.D., C.D.
• Gretchen E McCool, CNM
• Siri McCord
• Tiffany Sue McCord, LPC-IT

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.